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Survey & Inspection Report - /ey Form (Page 1) Page 1 of 3 <br /> Waste Tire Management <br /> System 3.86.0054 Authorized Use Only Home I Reports I Help I Sign Out <br /> Hide Survey Form (Page 1): Ferguson Enterprises (TPID:1512276) <br /> Report is in SUBMITTED status - CalRecycle approval of this inspection report is <br /> pending. <br /> Survey Submitted for CalRecycle review. <br /> Part A - Survey <br /> Create PDF from 21 Email Inspection To Facility Operator 21 Inspection Form Number: IW- <br /> this Inspection Emailed on 8/29/2016 1043536 <br /> electronic survey (open Documents tab) <br /> * TPID - Site Suffix: 1512276 - nl <br /> Found in Database <br /> Ferguson Enterprises <br /> 805 Cavanaugh Ave <br /> Stockton, CA 95203-4929 <br /> Local Identifier: San Joaquin County <br /> Business Rep: Dan Sigman Title: Maintenance <br /> * 0 Tire Count: 0 <br /> Latitude: Longitude: <br /> * Inspection Type: / Routine Re-inspection Referral Observation <br /> If referral, referral type: CHP CalRecycle L] Complaint Educational Visit Other <br /> Inspected By: 39-101 San Joaquin County u <br /> * Inspector: Lor Xiong <br /> * Inspection Date: 6/26/2016 <br /> * Time In 1:30 PM <br /> * Time Out 2:05 PM <br /> * Operation Status Tire Type Business Role Storage Type <br /> V Active Passenger V Generator Outdoor <br /> Closed Altered Hauler Indoor <br /> Inactive <br /> Planned q Truck End-Use Container <br /> OTR <br /> Business Type: <br /> New Tire Dealer Auto Body Agriculture [ Retreader <br /> Used Tire Dealer Hauler Government[ Crumb Rubber <br /> Service Station Trucking Fleet Collection [ Dismantler <br /> Auto Repair Car Dealer Shredder [Tire Derived Fuel <br /> v Other Business Type Other: Distribution Center <br /> https://secure.calrecycle.ca.gov/WTMS/Inspection/Survey.aspx?SurveylD=238574&0rga... 8/29/2016 <br />